Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Harish Singh
Mother's Name: Shobha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jan 2003 Nationality: Indian
Place of Birth: Bageshwar Personal Identification Mark: Birth mark on left elbow
Blood Group: O +  
Date of Birth (DD/MM/YY): 15 Jan 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
Address for Communication: Gulam pargar,Farsali Kapkote
State: Uttaranchal Country: India
Pin: 263679 City/District: Bageshwar
Mobile no: 9528168685 Telephone No. with STD code:
Aadhar Card No:823585642171 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Deepak Singh Relationship with candidate: Elder brother
Parents Date of Birth: 03 Jun 1996 Parent's/Guardian's Occupation/Designation: 2nd officer in Merchant Navy.
Office Address:
Address: Gulam pargar,Farsali Kapkote
Country: India State: Uttaranchal
City/District: Bageshwar Pin: 263679
Tel: Mobile no.: 7599227277
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Shivalik Holy Mount Academy School: Army Public School
City: Kashipur City: Ranikhet
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Ranikhet, Uttarakhand
  Centre code:
  Pin: 263645
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
05/2015 cricket District 3
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am spending my time after completing 12 by improving my speaking skills.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical Science is a good option for me.
Why do you wish to join TMI?: I want to join TMI because it is one of the most reputed colleges in India with a hundred percent placement record.
What are your hobbies?: I like to play cricket, basketball and to do workout.
What are your strengths?: I do not get demotivated easily.
What are your weaknesses?: sometimes i overthink for my future.
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________